Material From Kitchen Sponges Stop Nosebleeds In New Procedure

2012/01/27

Nosebleeds are common. In fact, 60 percent of us have them at some point, but for some it can be very serious. Primarily for those with high blood pressure or on blood thinners, nosebleeds may require medical treatment.

Our Colin Derdeyn, MD, director of the Stroke and Cerebrovascular Center at Washington University School of Medicine and Barnes Jewish Hospital, recently presented data at the International Symposium on Endovascular Therapy finding that a treatment involving the same material in kitchen sponges can make these nosebleeds a thing of the past.

In the procedure, Dr. Derdeyn, an interventional radiologist, performs a minimally invasive embolization, in which polyvinyl alcohol (PVA) particles (the material in kitchen sponges) are injected into the blood vessels to the nose. To do this, he threads a tiny tube called a catheter into a groin artery and advances it through the body to one or more of the four arteries that supply the nose, injecting the PVA particles.  The particles temporarily stop the blood flow, halting the nosebleed and allowing the area to heal. PVA has been used safely in the body medically for about 50 years.

You can read more here in USA Today or watch this interview with KSDK’s Kay Quinn:

For more about Dr. Derdeyn, watch this video here:

-Jason Merrill


Fast treatment can aid in recovery from an ischemic stroke

2012/01/24

Senator Mark Kirk

Illinois Senator Mark Kirk recently underwent surgery for an ischemic stroke, and his physicians report that a complete recovery isn’t likely.

A stroke can happen anytime, anywhere. The warning signs come on quickly:

  • Sudden weakness or numbness of the face, arm, or leg, usually on one side of the body
  • Sudden dimness or loss of vision, particularly in one eye
  • Loss of speech, or trouble talking or understanding speech
  • Sudden severe headache with no apparent cause
  • Sudden episodes of unexplained dizziness or unsteadiness

Time is critical when it comes to stroke treatment. Rapid treatment can help reduce the symptoms and aid in a full recovery. If the FDA-approved drug tPA (tissue plasminogen activator) is provided within three hours of the onset of symptoms, the patient has a better chance at recovery.

According to Dr. Colin Derdeyn, Director of the Stroke, Cerebral and Vascular Center at the Washington University Medical Center at Barnes-Jewish Hospital, described the procedure used on Kirk, a hemi-craniectomy, as a last-ditch procedure. To watch his interview on KSDK yesterday, go here.

Barnes-Jewish Hospital is a comprehensive primary stroke center which has treated many types of stroke using tPA and surgical procedures. To get a look at how we’ve streamlined our process of treating stroke patients, watch the video below:

 


Top 10 items you should ALWAYS have in your medicine cabinet

2011/12/21

After reading an article about what items most American’s always have in their kitchens, I got to thinking about what items should always be readily available in our medicine cabinets.

In researching this thought, I did a mental check of what’s in mine. And sadly, I’m missing half of what’s on the top 10 list.

1. Thermometer – you should always have one on hand to check how high a fever is, and whether it warrants medical attention. But beware – mercury thermometers are extremely dangerous if they become broken and leak. Mercury poisoning can affect the nervous system, damaging the brain, liver, spinal cord and kidneys. If you’ve still got one, contact the St. Louis County Government website for Recycling and Solid Waste to see what collection events are coming up.

2. Calibrated measuring spoon – these are great for liquid medicines that don’t come with a measuring cup. Taking the correct amount of medicine can make all the difference when it comes to overcoming an illness.

3. Dental floss – brushing only tackles 60% of the bacteria in your mouth, and that leftover bacteria can cause gingivitis, an infection in your gums. Gingivitis has been shown to lead to a heart attack or stroke, so make it a habit to floss at least after every meal.

4. Fungal medicine - Fungal infections can affect the nails, groin, skin, mouth and sinuses. And this may sound strange, but athletes foot can easily be spread to other parts of the body, just by using the same towel.  These infections are difficult to treat, so be mindful of how you dry off and be diligent about taking your medicine!

5. Sterile gauze & medical tape – I’ve had some nasty cuts in my time that a normal size bandage didn’t quite cover, and dressing a wound properly can make all the difference when it comes to healing.

6. Tweezers – this is your best offense when it comes to splinters and ticks. This handy tool can get to places that even the longest nails cannot access, and can help to prevent future pain and infection.

7. Muscle cream or heating pad – if you’re anything like me, a sore back can happen with a simple twist, and taking care of that inflammation immediately is imperative to getting back on your feet.

8. Antiseptic – while soap and water will do in a pinch, antiseptic is your best line of defense against infection when it comes to cuts and scrapes. Back in my days, mercurochrome was often used, and you could spot this orange remedy on many a skinned knee and elbow. However, the FDA labeled it unsafe back in the 1970′s due to it containing mercury (see #1). Two common antiseptics nowadays are isopropyl alcohol and hydrogen peroxide.

9. Nail clippers – having these around can help keep your mitts safe from hangnails (which can lead to infections), and your nails trimmed back so that you aren’t a danger to anyone else.

10. Adhesive bandages – I’ll bet you were wondering when this was going to make the list. We mentioned earlier on the list about dressing wounds properly – this includes those smaller ones that can also run the risk of infection.

So take some time to peruse through your medicine cabinet today, and add the items your missing to your shopping list.

 


New study shows that fitness trumps body weight in reducing risk of death

2011/12/05

The American Heart Association released results from a new study today that sheds light on whether it’s better to shed pounds or keep up with physical fitness.

As it turns out, physical fitness edges out losing weight when it comes to reducing risk of death from heart attack and stroke.

According to the study, in which 14,345 adult men, mostly white and middle or upper class participated, maintaining or improving fitness was associated with a lower death risk from heart attack or stroke even after controlling weight, or Body Mass Index (BMI) change.

The results highlight the link between physical inactivity and the risk of death.

While these new findings might make you think that losing weight isn’t as important to your health as keeping physically active, think again. There is a strong link between being overweight and other health issues, such as cancer, diabetes and more. Keeping your BMI at a rate that’s in line with your age and height is important to staying healthy.

To gauge what your BMI should be, check out our handy BMI calculator here.

To learn more about the Barnes-Jewish and Washington University Heart & Vascular Center and the American Heart Association “My Heart, My Life” program, click here and get heart-healthy recipes and tips on reducing your risk for heart attacks and stroke.

 


Physician of the week – Dr. Brian Rubin, vascular surgeon

2011/11/28

When it comes to vascular health, Dr. Brian Rubin enjoys both the prevention aspect as well as the intervention aspect of his practice. Educating his patients on good vascular health is an important part of his career, as is finding innovative ways to treat conditions such as stroke, aneurysms and peripheral artery disease.

Dr. Rubin discusses why being a vascular surgeon allows him to focus on all areas of the body outside of the heart and the skull in his video profile below. Check it out – you might discover something new today. I know I did!

 


We’ve reached a milestone, thanks to you!

2011/11/17

This post marks a milestone of sorts.

It’s #1,000 in a long line of posts we’ve shared with you over the last year and a half since we launched this blog.

We’ve enjoyed writing about new innovations and breakthroughs that Barnes-Jewish Hospital has been a part of, such as the Kling Center for Proton Therapy, the transcatheter aortic valve implantation, and the new stroke robot, Maestro.

We’ve also been able to bring to you many patient stories, such as the humor of brain tumor patient George Malich, our first heart/kidney transplant patient Jonathan Sadowski, and heart transplant patient Megan Moss.

But the most amazing thing about what this blog has afforded Barnes-Jewish Hospital, it’s team members, patients and community is a voice. We’ve been granted a unique way to communicate with you, and you’ve been great about sounding off to us. These are conversations we enjoy, and frankly, can’t get enough of.

So as we move forward into our next 1,000 posts, we’d like to say thanks for being a part of this conversation. Thanks for telling us what you think. And thanks, in advance, for continuing to provide us with feedback that will help us give you the information you’re looking for.

We’re listening. And we can’t wait to hear from you.

Warmly,

Kathy, Jason & Co.